通过跨域关联分析,提升对病情细微恶化的早期识别能力
CAND: Cross-Domain Ambiguity Inference for Early Detecting Nuanced Illness Deterioration
- 构建跨域关联与单领域动态关系的统一表征空间
- 在真实ICU数据上显著提升早期检测准确率与时效性
- 融合贝叶斯推理,增强对健康指标关联强度的可解释性
早期发现患者病情恶化对及时治疗至关重要,心率等生命体征是关键健康指标。现有方法多仅分析生命体征波形,忽视同一指标内部波形变化关系及不同指标间的相关性,难以捕捉细微恶化信号。本文提出CAND,将各生命体征内的演变关系及其相互关联建模为领域特异与跨领域知识,并在统一表示空间中联合建模,显著提升对细微恶化迹象的早期检测能力。CAND引入贝叶斯推断机制,利用领域内与跨领域知识增强信息,解决相关性强度的模糊性问题,有效推断关联强度以指导联合建模,优化生命体征表示。该方法实现更全面、精准的健康状态解析。在真实ICU数据集上的实验表明,CAND在有效性与早期性方面均显著优于现有方法。此外,案例研究展示了其可解释的检测过程,验证了实用性。
原文摘要 · Abstract (English)
Early detection of patient deterioration is essential for timely treatment, with vital signs like heart rates being key health indicators. Existing methods tend to solely analyze vital sign waveforms, ignoring transition relationships of waveforms within each vital sign and the correlation strengths among various vital signs. Such studies often overlook nuanced illness deterioration, which is the early sign of worsening health but is difficult to detect. In this paper, we introduce CAND, a novel method that organizes the transition relationships and the correlations within and among vital signs as domain-specific and cross-domain knowledge. CAND jointly models these knowledge in a unified representation space, considerably enhancing the early detection of nuanced illness deterioration. In addition, CAND integrates a Bayesian inference method that utilizes augmented knowledge from domain-specific and cross-domain knowledge to address the ambiguities in correlation strengths. With this architecture, the correlation strengths can be effectively inferred to guide joint modeling and enhance representations of vital signs. This allows a more holistic and accurate interpretation of patient health. Our experiments on a real-world ICU dataset demonstrate that CAND significantly outperforms existing methods in both effectiveness and earliness in detecting nuanced illness deterioration. Moreover, we conduct a case study for the interpretable detection process to showcase the practicality of CAND.
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